Home Health Care Nurses’ Challenges in Implementing Person-Centered Care among Elderly Patients with Dementia
Dublin Core
Title
Home Health Care Nurses’ Challenges in Implementing Person-Centered Care among Elderly Patients with Dementia
Subject
Challenges; dementia; home health care; person-centered care;
qualitative study
qualitative study
Description
Background: As the global need to address the care of elderly patients with
dementia continues to rise, various health care systems have adopted different
approaches to uphold the highest form of dignity, respect, autonomy, and
preferences of their patients. One such approach is Person-Centered Care (PCC),
which has shown benefits in improving the quality of life for elderly patients with
dementia and their caregivers. However, despite its recognized benefits, PCC faces
implementation challenges and is not widely adopted in some health care settings,
as its effectiveness in challenging scenarios remains unclear. Additionally, limited
research exists focusing on the experiences and challenges encountered by home
health care nurses in these cases.
Purpose: The primary aim of this study was to identify and describe the challenges
faced by home health care nurses in implementing PCC, specifically for elderly
patients with dementia.
Methods: The study utilized Husserl’s transcendental phenomenology method.
The participants included home health care nurses currently working with patients
who had been medically diagnosed with dementia for at least six months. Sixteen
participants were selected through purposive sampling. The nurses underwent
thorough face-to-face interviews with the researchers. Inductive thematic analysis
by Braun and Clarke was used to pragmatically organize the lived experiences.
Results: Upon data interpretation, the study revealed two major themes, namely:
personal challenges with two sub-themes, (1) communication barriers and (2)
limited training; and external challenges with two sub-themes; (1) powerlessness in
decision making and (2) uncooperative patients.
Conclusion: The study highlights the various challenges faced by home health care
nurses in implementing PCC for elderly patients with dementia. To improve nurses’
capability to manage these challenges, support through education and training,
policy development, and stakeholder involvement is essential to enhance the care
delivery process.
dementia continues to rise, various health care systems have adopted different
approaches to uphold the highest form of dignity, respect, autonomy, and
preferences of their patients. One such approach is Person-Centered Care (PCC),
which has shown benefits in improving the quality of life for elderly patients with
dementia and their caregivers. However, despite its recognized benefits, PCC faces
implementation challenges and is not widely adopted in some health care settings,
as its effectiveness in challenging scenarios remains unclear. Additionally, limited
research exists focusing on the experiences and challenges encountered by home
health care nurses in these cases.
Purpose: The primary aim of this study was to identify and describe the challenges
faced by home health care nurses in implementing PCC, specifically for elderly
patients with dementia.
Methods: The study utilized Husserl’s transcendental phenomenology method.
The participants included home health care nurses currently working with patients
who had been medically diagnosed with dementia for at least six months. Sixteen
participants were selected through purposive sampling. The nurses underwent
thorough face-to-face interviews with the researchers. Inductive thematic analysis
by Braun and Clarke was used to pragmatically organize the lived experiences.
Results: Upon data interpretation, the study revealed two major themes, namely:
personal challenges with two sub-themes, (1) communication barriers and (2)
limited training; and external challenges with two sub-themes; (1) powerlessness in
decision making and (2) uncooperative patients.
Conclusion: The study highlights the various challenges faced by home health care
nurses in implementing PCC for elderly patients with dementia. To improve nurses’
capability to manage these challenges, support through education and training,
policy development, and stakeholder involvement is essential to enhance the care
delivery process.
Creator
Abdulkarim Agga1
, Nada Sattar1
, Veronica Cristina Brillantes Macaraeg2
, Nada Sattar1
, Veronica Cristina Brillantes Macaraeg2
Source
https://doi.org/10.14710/nmjn.v15i1.65673
Date
29 April 2025
Contributor
peri irawan
Format
pdf
Language
english
Type
text
Files
Collection
Citation
Abdulkarim Agga1
, Nada Sattar1
, Veronica Cristina Brillantes Macaraeg2, “Home Health Care Nurses’ Challenges in Implementing Person-Centered Care among Elderly Patients with Dementia,” Repository Horizon University Indonesia, accessed February 21, 2026, https://repository.horizon.ac.id/items/show/11304.